Experienced Registered Nurse committed to providing high quality patient care. Adept at working effectively and excellent communication.
Overview
20
20
years of professional experience
1
1
Certification
Work History
MDS Coordinator
Carepointhealth - HUMC
Hoboken, NJ
06.2023 - Current
Participated in survey preparation activities by ensuring that all necessary documents were available during surveys conducted by state agencies or accreditation organizations.
Researched new developments in Medicare and HMO reimbursement policies related to residents' SNF stay.
Developed individualized plans of care for each resident based on assessment findings.
Provided training and education to nursing staff on current MDS regulations.
Reviewed clinical documentation to ensure accuracy of information reported on the MDS forms.
Collaborated with interdisciplinary teams to develop comprehensive care plans.
Followed standard operating procedures to perform quality control audits.
Case Management / MDS Coordinator
Eger Health Care
Staten Island, NY
02.2019 - 05.2023
Assessing patient needs, creating treatment plans, coordinating care for a successful discharge planning
Communicates with the patient, family, MD and SW for the needs of the patient
Arrange primary care, hospice care, visiting nurse, medical equipment needed upon discharge
Follow up with insurance coverage and sources of payment and inform patient and family.
Prepared annual reviews of all residents' medical records according to federal guidelines.
Developed individualized plans of care for each resident based on assessment findings.
Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations and other regulatory paperwork.
Audited monthly MDS submissions for accuracy, timeliness, completeness and compliance with applicable regulations.
MDS Coordinator
Bayonne Medical Center TRCU
Bayonne, NJ
04.2017 - 05.2021
Responsible for the MDS assessment of the patients/residents admitted to the unit.
Interviews patients in collaboration with their mood, behavior pattern, cognition, and pain assessment, and initiates an individualized care plan with the interdisciplinary care team.
Participates in the Quality Assurance and Performance Improvement of different disciplines every quarter.
Attends bi-monthly meeting with the TIC Bundle Program to discuss rehospitalization.
Submits the Payroll Based Journal (PBJ ) to the CMS
Deals with the referrals in acute care, assess patients' clinical needs to continue care in TRCU, and to ensure level of care and length of stay of patients are medically appropriate.
Obtains authorization to manage care insurance and submits the clinicals for the appropriateness and efficiency of medical services and/or procedures to be done for the patient.
Encourages patient participation in home care post-discharge from TRCU to reduce rehospitalization.
Participated in survey preparation activities by ensuring that all necessary documents were available during surveys conducted by state agencies or accreditation organizations.
Facilitated team meetings with members from other departments such as Social Services, Dietary, Activities, Rehabilitation services, to discuss resident issues and concerns related to the MDS process.
Provided training and education to nursing staff on current MDS regulations.
Increased productivity and efficiency by regularly reevaluating processes and technologies.
Nurse Supervisor/ MDS Coordinator
Majestic Rehab and Nursing Care Center
05.2015 - 08.2019
Supervises 170 bed capacity on 3-11 shift
Admitting patients, answers all emergencies in the building through out shift from residents, family and staff
Inservice staff for any new policy and procedures, disciplines/ counsels staff on my shift as per protocol
In charge of the Medicare and HMO insurance patients with their MDS assessments for submission to the CMS
Attends the quarterly QAPI and discuss the quality measure that affects the 5 star rating
Initiate care plan for the residents, attends the resident and family meeting with the IDC team
Doing chart review in preparation for the annual survey from the DOH.
RN Night Supervisor
Brookhaven Health Care Center
East Orange, NJ
09.2014 - 07.2016
Supervises 120-bed capacity with sub-acute and LTC residents.
Responsible for staffing.
In-service staff for new policies in place, according to the DOH guidelines.
Review chart of newly admitted patients and initiate care plans.
Ensure less transfer to hospital, incidents like fall and behavior among residents and staff.
Attended continuing education courses to stay up-to-date on current trends in nursing practice.
Ensured compliance with infection control policies and procedures.
Nurse Manager
Bergen Regional Medical Center
Paramus, NJ
05.2014 - 08.2014
Manages 2 units â locked down unit and LTC/Subacute.
Reports to the Director of Nursing on a daily basis and gives updates on activities on the unit, submits weekly and monthly reports.
Oversee staffing and payroll on the unit.
Establish high acuity and increase census.
Assess the work performance of nursing personnel according to their job description.
Assumes nursing administrative responsibility on the weekend and holiday coverage.
Promote customer service to the residents and their families, and make sure staff are dedicated to their work performance.
Promoted a positive work environment through effective communication with staff members.
Coordinated interdisciplinary team meetings to review patient progress and plan care strategies.
Trained other nurses on patient care and daily tasks, supporting growth and professional development.
Nurse Manager
Alaris Health @ Kearny
Kearny, NJ
03.2012 - 05.2014
Oversee a 68-bed capacity sub-acute and LTC residents.
Assumes responsibility for the continuity of nursing care to the residents.
Submits reports to the DON, weekly reports such as wound, census, and conditioning.
Monthly reports, such as infection control/antibiotic therapy, pain management, and psychotropic medications.
Orienting, teaching, and evaluating nursing staff's skills and assessing work performance, counseling staff, or taking disciplinary action as needed.
Coordinated interdisciplinary team meetings to review patient progress and plan care strategies.
Applied clinical judgment and comprehensive knowledge of facility policies to assist floor nurses with patient care decisions.
Nurse Supervisor
Shoreview Nursing Home
Brooklyn, NY
08.2009 - 07.2012
Supervises a 320-bed capacity LTC and short-term rehab with cases such as orthopedics, COPD, CHF, pain management, CVA/SDH, psychiatric issues, wound care, tracheostomy, PEG tube, TPN/PPN, IV therapy, post-op complications for rehab therapy.
Assist in the admission and discharge of patients, and deal with family issues.
Helps in the staffing issues.
Responded promptly to customer complaints regarding service delivery issues.
Oriented, assessed and mentored staff on correct procedures and clinical skills.
Agency Nurse
Rosario Magno International
JC, NJ
08.2006 - 07.2012
As an agency nurse, I go to different facilities from NJ to NY, including a pediatric facility, a medical surgical hospital, and a geriatric facility.
Act as a staff nurse and charge nurse, depending on the available position.
Admit and discharge patients with different skills, interact with the patient, family, and PMD.
Carry out orders from PMD.
Provide adult care before and after medical procedures and surgeries, blood transfusion, administer medications, and IV treatments.
School Nurse
Staten Island Charter School
Staten Island, NY
04.2011 - 02.2012
Responsible for the health records of the students, such as immunization and health screenings, which include hearing and vision.
Administer routine medications to students who are on insulin and nebulization treatment.
Health teaching for families on diabetes and infection.
Responded quickly to emergency situations involving student health issues.
Monitored immunization requirements for all enrolled students.
Maintained accurate records of student health information.
Telemetry RN
Downtown Hospital
Manhattan, NY
11.2010 - 03.2011
Performs nursing care for patients with pre-existing heart conditions, obese patients, diabetics, and step down from CCU/ICU.
Monitor patients post cardiac catheterization, PPM, AICD.
Develops plan of care with the patients and responds to any changes in cardiac rhythms.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Staff Nurse
Alaris Health @ Jersey City
JC, NJ
06.2007 - 02.2010
Responsible for the assessments and interventions of any change in condition of the residents
Administer medications and treatments
Attends to resident and family concerns
Admit and discharge
Initiate IV treatments, wound vac, tracheostomy care, PEG tube, Bipap, post op surgeries.
Telemetry RN
Bayonne Medical Center
Bayonne, NJ
02.2009 - 08.2009
Initiate nursing care to adult patients requiring observation post cardiac monitoring
Able to interpret monitor strips and rhythms that would warrant notification of the physician for initialization of therapy
Explains to the patient the rationale of care, procedures, medications in accordance to patients rights and confidentiality
Monitor cardiac drips
Quick turn-over rate of patients to other units.
Staff Nurse
Quirino Memorial Medical Center
Manila, Philippines
04.2004 - 06.2006
A tertiary hospital that rotates staff every month to different units
Able to work in SICU, Oby-gyne, pediatrics, med-surg
Improvised equipments was utilized due to scarcity of tools
In 2006 permanently work in OB ward.
Transition in Care Coordinator
Carepointhealth
Bayonne, New Jersey
06.2021 - Present
Attended meetings with families and other members of the interdisciplinary team to discuss patient progress and plan for future interventions.
Provided case management services to ensure the delivery of quality care.
Maintained communication between the family and caregiver and other involved parties regarding the patient's condition.
Assessed safety risks associated with living environments or activities of daily living.
Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
Assisted in the development of discharge plans for clients transitioning out of care programs.
Scheduled appointments for clients with appropriate medical specialists.
Facilitated referrals to community resources such as housing, transportation, employment opportunities.
Collaborated with interdisciplinary teams to provide comprehensive patient-centered care.